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General NPI Number Information
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NPI Number | 1316738362
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Entity Type | Individual
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Provider Name | ROBIN SHELTON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1835 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3701
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Country | US
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Telephone | 312-608-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 811 W AGATITE AVE APT 2508
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City | CHICAGO
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State | IL
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Zip | 60640-6214
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Country | US
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Telephone | 312-608-6488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209032856
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License Number State | IL
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